Provider Demographics
NPI:1073084067
Name:KAMI WELLNESS CENTER INC
Entity Type:Organization
Organization Name:KAMI WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMLA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-544-3400
Mailing Address - Street 1:5801 W HALLANDALE BEACH BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5243
Mailing Address - Country:US
Mailing Address - Phone:954-544-3400
Mailing Address - Fax:954-544-2466
Practice Address - Street 1:3600 S STATE ROAD 7 STE 352
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-7203
Practice Address - Country:US
Practice Address - Phone:954-802-8857
Practice Address - Fax:954-544-2466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health